Individual provider Active NPI

Kimberly G Castner, APRN

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1891252326
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11001386 Issued in FL
Practice address
2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591
Phone
(321) 723-7716
Fax
(321) 723-0604
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001386 FL Primary

Addresses

Primary practice location

2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591

Mailing address

2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591
Phone (321) 723-7716

Other practice location 1

1223 Gateway Dr Ste 2E
Melbourne, FL 32901-2607
Phone (321) 312-3494

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 312-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402000974 FL Practitioner - Nurse Practitioner 3779824651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suntree Medical Associates, P.a.Group PAC ID 9436111440, 3 clinicians

Practice addresses (Care Compare)

6420 3Rd St
Suite 104
Rockledge, FL 32955-5788
Phone (321) 757-9711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11001386FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suntree Medical Associates, P.a. CurrentSince Apr 22, 2025 Accepting new patients

Locations

6420 3rd St
Ste 104
Rockledge, FL 32955
Phone (321) 253-3944

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70176

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1891252326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S HARBOR CITY BLVD STE 610",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015591",
            "telephone_number": "321-723-7716",
            "fax_number": "321-723-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S HARBOR CITY BLVD STE 610",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015591",
            "telephone_number": "321-723-7716",
            "fax_number": "321-723-0604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-312-3494",
            "fax_number": "321-952-6946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-312-3494",
            "fax_number": "321-952-6946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTNER",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.